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02-104429A City of Federal V -7 7y Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: WORLD VISION Project Address: 3455 S 344TH 5-f Uji'l 3aS Mechanical Permit #:02 -104429 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 222104 9006 Project Description: MECH - Installation of (6) VAV boxes, (15) diffusers and associated duct work to portion of existing office located on 2nd floor. Owner Applicant Contractor BEDFORD PROPERTIES INVESTORS MCKINSTRY COMPANY MCKINSTRY COMPANY BEDFORD PROPERTIES INVESTORS 5005 3RD AVE S 5005 3RD AVE S 701 N 34TH ST SEATTLE WA 98124 SEATTLE WA 98124 SEATTLE WA 98102 1 1 (206) 763-5399/486 Mechanical Valuation..........................................19000 Over the Counter Permit......................................No Mechanical Fixtures Description; , ffl- Q rlt1,.. ©rrs riptlQ `," Quentit Air Handling Units Ducts 15 PERMIT EXPIRES April 15, 2003, IF NO WORK IS STARTED. Permit issued on October 17, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: RL�Jj,� Fy Date: SeAI ane Su�f'D✓t of d,[�fis RECEIVED Cffy0Ftz—= CONSTRUCTION PERMIT APPLICATION -V �Er�L OCT U 8 2002 PPLICATION NUMBER: CITY OF FEDERAL WAY PPLICATION NUMBER: 1122, - 3tJ - BUILDING DEPT. APPLICATION NUMBER: _ _ - - **The following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. -111 SITE ADDRESS: 55 c�• 3L� I W ASSESSOR'S TAX/PARCEL #: L Q LL - 1 -0 c LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): `tit e Q.�cG�l PGQ TYPE OF PROJECT (This application): ❑ BUILDING ri PLUMBING �R'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: UD alk ti 5 f C -K PEOPLE INFORMATION PROPERTY OWNER: CONTRACTOR: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATo, ZIP): IDS 4-1k S-ka - 21 n, Spm , �� 9 8 I o3 NAME:DAYTIME .O PHONE: A' ( 2,0(0) 762 - 3--� MAILING (STREET ADD S; CITY, STATE, ZIP): EVENING PHONE: 7DRESS ,o z 5 1 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: (� - 6 0 Q p (20(0) - CONTRACiOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) 1 7c 2 12-/31 1 0 2i APPLICANT: NAME: DAYTIME PHONE: me -- (J06 ) e -W - 81.22 MAILING ADDRESS (STREET A DRESS; CITY, STATE, ZIP): AV&ONG AWONE: Ole SO -C (206 ) % RELATIONSHIP TO PROJECT:/ ^ FAX NUMBER: ❑ ARCHITECT ❑ TENANT G1'G/lV(9nC1 THER ( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER [3APPLICANT 02,LINTRACTOR EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 1 SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN SEWER SERVICE PROVIDER: ❑ LAKEHAVEN _ PROPOSED VALUATION FOR IMPROVEMENTS: $ FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE ❑ PRIVATE (SEPTIC) "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT Indicate number of each type of fixture COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO AIR HANDLING UNIT(S) SECOND GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) THIRD HOOD(S) WOODSTOVE) BOILERS) FOURTH RANGE(S) -6 MISC. ( VAV ) COMPRESSOR(S) OTHER FLOORS (DESCRIBE) us- Q((rPq5"4 DUCT(S) DECK HEAT SOURCE: OELECTRIC ❑ GAS GARAGE HOW MANY FLOORS? _ BATHTUB(S) TOTAL: URINAL(S)WATER HEATER(S) DISHWASHER(S) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part toof this appli" tion.��" NAME/TITLE: �d�G�/` �C��/ / i��"C �`� ` DATE: ❑ PROPERTY OWNER ❑ APPLICANT 52(O�RACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION FIXTURES CENSUS CODE: LOT SIZE: ZONING DESIGNATION: Indicate number of each type of fixture COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO MECHANICAL NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE) BOILERS) FIREPLACE INSERT(S) RANGE(S) -6 MISC. ( VAV ) COMPRESSOR(S) FURNACE(S) us- Q((rPq5"4 DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: OELECTRIC ❑ GAS PLUMBING _ BATHTUB(S) LAVATORY(S) URINAL(S)WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Ems' LECTRIC ❑ GAS DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) J_ SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part toof this appli" tion.��" NAME/TITLE: �d�G�/` �C��/ / i��"C �`� ` DATE: ❑ PROPERTY OWNER ❑ APPLICANT 52(O�RACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.citvoffederalway.com